Pug Puppy Buyer Application
Sign in to Google to save your progress. Learn more
First & Last Name *
Full Address *
Phone Number *
Email Address *
Do you live in a *
Do you *
If you rent has your landlord agreed in writing to allow you to have a dog on the premises?
Clear selection
Do you have a securely fenced in yard? *
Are there any other dogs in your residence at this time? *
If yes, what breeds?
Do you have a regular veterinarian? *
If yes, please list name, address, and phone number.
Are you familiar with the pug breed, their needs, and common health issues (elongated soft palate, stenotic nares, etc...? *
Are there any children in the home? *
If yes, please list ages.
How many hours a day will this pug puppy be left home alone? *
Are there likely to be any major changes in your lifestyle in the near future (moving, pregnancy, etc..)? *
If yes please explain
Which gender are you looking for? *
Is there a specific color that you looking for? *
Required
What are your intentions for your new puppy? *
Do you understand that a puppy sold as a pet must be spayed/neutered? *
We only sell a puppy with full breeding rights to experienced breeders! If you are looking for breeding rights please describe your experience in breeding.
Do you understand that if for whatever reason you can not keep this pug puppy that he/she must be returned to us? *
Please tell us a little about yourself, the home the puppy will be living in, and why you would like to a have pug puppy. *
By typing in your name it will act as your signature. *
*
MM
/
DD
/
YYYY
Submit
Clear form
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. - Terms of Service - Privacy Policy

Does this form look suspicious? Report

Google Forms